The Kuriki method (the first edition in 2007) is a theory about Tourette’s syndrome (tic disorder) and obsessive-compulsive disorder to cure these diseases without medication. This theory is based on the author’s inference and interpretation regarding the structure of these diseases. Since it has been written for the psychoanalysts, reading will be difficult for people in general and it might be sometimes read erroneously. Therefore the Kuriki method must presuppose that the patient is treated by a nearby psychoanalyst, and that, between the patient and the Kuriki method, there is always the psychoanalyst. The explosion of emotional catharsis, which has strong repercussions, is done only for three seconds, once a week: beyond this rhythm, it would be an accident caused by negligence, and the psychoanalyst who is inexperienced in emotional catharsis must take responsibility for the temporary mental collapse caused by the accident. Also, to the patient who has weak capacity of logical reasoning, the psychoanalyst must explain well on the violent emotion of revenge caused by the illusory confusion between the person of the traumatic image in his head and the person in the real world.
Cure for Tourette’s syndrome (tic disorder) and OCD without medication
§10
The compulsivity of tic disorder.
In Kuriki method, Tourette’s syndrome and obsessive-compulsive disorder are not considered as one is a complication of the other, but as two subsets of the same neurosis. The differences between the specific symptoms of Tourette’s syndrome and obsessive-compulsive disorder have no importance and the treatments for these two diseases must be similar. As a case of neurosis, the observables elements for the patient are called the symptoms and the unobservable elements for the patient are called the cause, and the symptoms and the treatment of the cause are not necessarily on the same level.
In neurosis of a child, the neurotic cause and the bodily symptoms can be at much different level. The most important part of the treatment of Tourette’s syndrome is the treatment of the lower layer of neurosis; emotional catharsis. The erroneous attempt to eliminate directly on the symptom level in the upper layer of tic disorder, «compulsive intramuscular sensation», with medications, surgery, exercises, etc., shows the doctor’s ignorance about neurosis. There are even ignorant doctors who try to eliminate the patient’s tic movement directly on the symptom level, thinking that the tic movement is an involuntary movement.
Tic without compulsivity
Tic in itself is a function a little bit Asperger, function to repress disagreeable physical sensation and it is impossible to eliminate this congenital function.
If a healthy person with Asperger who congenitally has tic function goes up stairs, for example, his Conscious wants to do a tic movement to distract itself from the unpleasant physical sensation of tired legs. Such a momentary tic is not compulsive: this person is able not to do it, if he knows it is to repress the disagreeable physical sensation. This tic may be forgotten, and besides, there is no need to completely eliminate it 100%.
Tic of all day long with compulsivity, neurotic tic, tic disorder
In the case where a person’s tic has got neurotic with the obsession to the existence of a muscle, his compulsive movement is absolutely necessary and forced all day long, as long as there is genital sensation. Even if the patient has neither physical fatigue nor physical pain, all the time, the muscular sensation of a voluntary muscle remains as the object of the intentionality of the Conscious, the « compulsive intramuscular sensation » amplifies itself, the Conscious is forced to do the tic movement. As the body part that the Absolute Compulsion represses using the function of tic, the libidinal part can be suspected. In order to repress the libidinal part of the body, for a person who does not have congenitally the function of tic, the Absolute Compulsion might use the physical symptoms of other types of neurose, such as obsessive-compulsive disorder, panic disorder, etc. The goal of treatment is elimination of the compulsivity.
The symptom in the upper layer of tic disorder; sensory phenomenon
As one of the remarkable symptoms of neurosis of dogs, sometimes the presence of the voluntary muscle of its tail can be the compulsive object, obsession, of the Conscious. If the movement of biting the tail is selected as the manner of neurosis, the dog will be forced to run after its tail and to turn like a spinning top. In human tic, the physical sensation of the presence of a voluntary muscle is determined as obsession and the movement of contraction becomes the manner of tic.
The framework of Absolute-Compulsion dominates the Conscious indirectly : the Conscious cannot perceive directly the structure of the Absolute-Compulsion. Only the obsessive amplification of the disagreeable bodily sensation is perceivable. The sensation of the presence of a voluntary muscle is the interface by which the Absolute-Compulsion dominates the Conscious. In the Conscious, the force of domination of the Absolute Compulsion appears only as a kind of physical sensation, and the patient thinks his muscle-obsession is an inexplicable phenomenon. The Conscious of the patient cannot perceive the external force which concentrates the Conscious on the presence of a voluntary muscle. That is to say, the outer frame of this double framing can only be intelligible conceptually, and after the emotional catharsis, the state in which it has been eliminated will be perceived.
« Compulsive intramuscular sensation »
The « compulsive intramuscular sensation » is the disagreeable physical sensation which amplifies itself, and with the obsessional focalization of the Conscious on the presence of this voluntary muscle as obsession, the compulsiveness of a tic movement amplifies itself.
Tic movement is 100% a voluntary movement, therefore a patient can hold it, for example, for about 10 seconds against compulsion. In these 10 seconds, the disagreeable bodily sensation of coagulation in a voluntary muscle will amplify itself and also the intentionality of the Conscious on this voluntary muscle will amplify itself. As amplification, the compulsion is very weak at the first second and increases exponentially. The compulsion will be saturated in 10 seconds. Usually the patient does not wait the saturation; his voluntary movement of tic is executed automatically at the first second of the perception of the « compulsive intramuscular sensation » at low level of the amplification. The « compulsive intramuscular sensation » has a precisely determined manner of movement as an attribute, and the execution of the movement is its only solution. The fact that the physical sensation has an attribute of exact manner of corporeal act is one of the characteristics of the physical sensation of neurosis, and the disagreeable sensation of the voluntary muscles of the throat in a coprolaria is a remarkable example of it. The patient absolutely cannot endure the compulsive physical sensation without giving it the solution. The patient perceives only the weak bodily sensation, and, at the same time, the compulsion amplifies itself as the focus of the Conscious. As the focus of the Conscious is already occupied by the presence of a voluntary muscle, the patient cannot recognize that the focalization itself is the obsession. The object of focus is not the obsession, but the neurotic function of focalization on any object is the obsession. The libidinal body parts are placed outside the Conscious. Inside the structure of the Absolute-Compulsion, the Conscious is dominated indirectly by the bodily sensation which is the only one interface. The patient is indirectly dominated by the Absolute-Compulsion, as the Absolute-Compulsion is transparent, so to speak. The Conscious cannot perceive the structure of the obsession, the unconscious frame. Therefore, for the Conscious of the patient, the symptom is the focalization of the intentionality on the amplification of this disagreeable bodily sensation that is the « compulsive intramuscular sensation » of tic disorder. It is the structure of obsession, “Absolute Compulsion” that forces the voluntary movement of tic to the Conscious, but the patient perceives it only as the « compulsive intramuscular sensation ». Just as, in an obsessive-compulsive disorder, the patient considers that the act of OCD is forced only by the obsession about the state of a thing, and he does not see the structure of the Absolute Compulsion, which is the frame of the disease. Between tic disorder and obsessive-compulsive disorder, the frame is the same, the interfaces are distinct. The interface in an obsessive-compulsive disorder is the physical sensation of anxiety, however the patient does not know that anxiety is a kind of physical sensation. If the symptom of a disease is the observable element of the disease, the « compulsive intramuscular sensation » of tic disorder is the symptom of tic disorder. The symptom of tic disorder is not the tic movement, but the appearance of the focused bodily sensation with compulsivity. The voluntary movement of tic is not the disease: the disease is the physical compulsion of “I absolutely need to do it now”. The categorization of the manners of tic movements has no importance.
Premonitory urge
Sometimes the word “premonitory urge” is used, but this word “premonitory” is improper and shows a lack of understanding of the symptom of tic. Such as “the premonitory symptoms of an earthquake”, it is a confusion of the voluntary movements of tic disorder and the involuntary spasms of some other diseases. The word “premonitory” means erroneously the warning sign of an involuntary convulsion.
With regard to the word “urge”, a movement of tic is not an act by the urge, but an act to put an end to the urge. Just as OCD of washing hands is not an act by compulsion, but an act to put an end to this compulsion to wash hands.
The descriptions of the Kuriki method cannot be done with this improper word, and the author uses the word « compulsive intramuscular sensation » of tic disorder for this disagreeable bodily sensation. « Compulsive intramuscular sensation » of tic disorder is a disagreeable sensation of muscle contraction without muscle contraction. Its purpose is to be a “decoy” of intentionality. It is to put the sensation of the libidinal body part outside the Conscious.
« Compulsive intramuscular sensation » of tic disorder
For patients, who do not know that the obsession to the presence of a voluntary muscle is the main symptom of tic disorder, the symptom of motor tic is a kind of bodily sensation that resembles the coagulation in voluntary muscles, with individual difference. The physical sensation of the presence of a voluntary muscle is the obsessive object of the Conscious, and the Conscious is forced to do the rapid muscular contraction as solution. In a vocal tic, this sensation appears on a voluntary muscle of the upper respiratory tract. It is not muscular tension nor muscular contraction, but a kind of sensation and the Conscious concentrates on this point of the body. If there can be “the sensation of moving a voluntary muscle”, it will be “the sensation of not moving that voluntary muscle”. It is sensation contrary to “moving”. Often children express it with the word “itchy”, and it does not mean something like itch on the skin, but as something crawling in voluntary muscles. When the Consciousness has a voluntary muscle as its object, what the Conscious does can be only the choice between to move it and not to move it, otherwise the verification of the mobility of this muscle : as well as the Conscious under an obsessive-compulsive disorder (to do this act, or not to do it) and under a panic disorder (to get out of this place, or not to get out of it), etc.
To prevent the Conscious from going towards disagreeable or libidinal body part, when the obsession is placed on the voluntary muscle of another body part, the « compulsive intramuscular sensation » appears in this voluntary muscle.
Amplification of the « compulsive intramuscular sensation » of tic disorder
On the voluntary muscle of the obsession, without doing the movement of tic, the sensation of concentration of the « compulsive intramuscular sensation » of tic disorder amplifies itself until saturation and remains in the foreground of the Conscious. Although the cause of tic disorder is outside the Conscious, the amplification is done in the Conscious. The power of the Conscious, i.e., the will, can not stop the « compulsive intramuscular sensation » of tic disorder. On the contrary, the Conscious is part of the mechanism of amplification. (§ 28).
The compulsivity disappears after treatment.
Tic movement
The tic movement, which is a voluntary movement, is done to delete temporarily the muscular sensation of concentration-coagulation, the « compulsive intramuscular sensation » of tic disorder. For example, this sensation in the forehead muscle forces the Conscious to move the forehead muscle. As a result, the eyebrows move : but it is the Conscious that moves the forehead muscle. This sensation in the muscle of the left shoulder forces the Conscious to move the muscle of the left shoulder. As a result the left shoulder moves : but it is the Conscious that moves the muscle of the left shoulder. Motor tic is obsession to the sensation of a voluntary muscle, and it is not obsession to the movement of a body part. The disagreeable or libidinal body part is temporarily repressed from the Conscious by the most conscious movement of another body part. To the eyes of observers who do not know what neurosis is, a sudden, rapid, unnecessary, abnormal, meaningless movement appears as if it were an involuntary movement like spasm.
The « compulsive intramuscular sensation » of tic disorder is possible in any voluntary muscle, if it has sensitivity. The « compulsive intramuscular sensation » of a tic movement with breathing, such as coprolalia, vocal tic, sniffing tic, etc., appears in voluntary muscles of the upper respiratory tract: it does not appear in the diaphragm, which does not have sensibility. The object of focus of the obsessive Conscious is not the movement of that body part, but the disagreeable sensation of « compulsive intramuscular sensation » of tic disorder, the existence of this voluntary muscle, its contraction, its relaxation and if there is the joint, the condition of this joint. For example, for an eye-tic, the concentration of the Conscious is done on the existence of the oculomotor muscles, their contraction, their relaxation and their immobile state. The concentration of the Conscious is not done on the movement of looking left side or right side. The external aspect of the manner of tic has no psychoanalytic significance. The movement is determined by the location of obsessional muscle : obsessional muscle, just like obsessional idea. The Unconscious points at the muscle with the disagreeable sensation. §12 will show you that an unit of muscle is not a muscle that has been anatomically defined, but a group of muscles that the Libido has known by bodily movement. A movement that has been physically remarkable in the past with muscle tension. The tic movement is determined by the muscle, but the muscle had been known with a movement. The compulsive physical sensation appears on the voluntary muscles group of a known movement, interface of Absolute Compulsion. An exact manner of tic movement, such as coprolalia word, is definitely determined on the basis of motor unit of a known movement. (§18). With a long treatment by emotional catharsis, the compulsivity of the « compulsive intramuscular sensation » of tic disorder will progressively become weak. A recovery from tic disorder means the state where the compulsivity of the « compulsive intramuscular sensation » of tic disorder no longer appears. In a tic movement of the child, even if it is a slow movement, there is a rapid muscle contraction at the last moment of the movement, and this voluntary muscle contraction will be the resolution of the uncomfortable feeling of the « compulsive intramuscular sensation » of tic disorder and as the zero point of the amplification of the « compulsive intramuscular sensation » of tic disorder in the cycle of the « compulsive intramuscular sensation » of tic disorder and tic movement.
Manner of tic.
Why tic movements are rapid?
The reason why movements of motor tic are rapid is the same reason as why coprolalia words are embarrassing for the patient. The bodily symptoms of tic disorder are a means of repression; the disagreeable body part, the libidinal body part or the traumatic image will be repressed when a bodily symptom of tic disorder is placed in foreground of the Conscious of the patient.
《Tic (compulsion) is placed in the foreground of the Conscious.》
The voluntary muscles without articulation do not produce sound, however in the Conscious, a rapid movement has an effect as if it were producing a cracking sound. The sound intercepts the intentionality of the Conscious. A tic movement is extremely conscious. An ordinary, normal, natural or ambiguous movement cannot be intrusive in the Conscious of the patient. The compulsion to make an unnecessary weird movement that is remarkably absurd in the Conscious of the patient will hamper the Conscious of the patient. When this compulsion is placed in the foreground of the Conscious of the patient and when the Conscious of the patient deals with this compulsion, a disagreeable body part, such as tired legs, a libidinal body part, such as genital part, or the traumatic image will be prevented from entering the Conscious of the patient. A slow movement would be a natural movement: only an absurd movement can be an object of the Conscious of the patient and used for bodily repression. In the structure of the Absolute Compulsion, the odd manner of movement will be precisely and randomly determined. The manner of movement is meaningless; the rapidity of this voluntary movement has no reason except for the absurdity and the sound element. (cf, false motive in rationalization)